CT abdomen and pelvis with contrast at Phoebe Sumter. CPT 74177.
What Phoebe Sumter publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$306–$575range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Va | Community Care Program Government | $306 |
| Aetna | Medicare Managed Care Plan | $312 |
| Clover Health | Medicare Managed Care Plan | $315 |
| Georgia Health Advantage | Medicare Managed Care Plan | $321 |
| Alliant Health Plans | Exchange | $443 |
| Aetna | Qualified Health Plan (Qhp) Exchange | $474 |
| Ambetter Health | Exchange | $535 |
| Maestro | Pphs Umr Radiology Bundle Employee | $575 |
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